不同微生物检验法对念珠菌阴道炎患者阴道分泌物的检验效果的对比

Comparison of the Detection Effect of Different Microbial Assays Methods on the Vaginal Discharge of Patients with Candida Vaginitis

目的对比不同微生物检验法对念珠菌阴道患者阴道分泌物的检验效果。方法选取我院2018年2月至2019年2月期间收治的128例念珠菌阴道炎患者作为研究对象,全部患者均分别接受镜检法、凝集法以及培养法进行阴道分泌物检验,对不同检验方法对阴道分泌物的检测结果进行比较。结果128例患者经不同检验方法进行阴道分泌物检测结果显示:镜检法开展阴道分泌物检测对念珠菌的检出率为90.63%,培养法开展阴道分泌物检测对念珠菌的检出率为82.81%,凝集法开展阴道分泌物检测对念珠菌的检出率为81.25%,镜检法开展阴道分泌物检测对念珠菌的检出率比培养法、凝集法高,差异有统计学意义(χ2=5.1429、6.6476,P=0.0233、0.0099);培养法与凝集法开展阴道分泌物检测对念珠菌的检出率比较,差异无统计学意义(χ2=0.1060,P=0.7447)。结论与凝集法、培养法相比,镜检法开展阴道分泌物检测对念珠菌的检出率更高,可作为临床诊断念珠菌阴道炎的首选检测方法。

Objective To compare the detection efficacy of different microbial assays methods on the vaginal discharge of patients with candida vaginitis.Methods A total of 128 patients with candidal vaginitis admitted to our hospital from February 2018 to February 2019 were selected for the study.All patients underwent microscopic examination,agglutination method and culture method for vaginal secretion examination respectively,the results of the vaginal discharge tests were compared with those of different methods.Results 128 patients were tested for vaginal discharge by different methods.The results showed that the detection rate of candida was 90.63%by microscopic examination,82.81%by culture test,and 81.25%by the agglutination test.The detection rate of candida by the microscopic examination was higher than that by the culture method and the agglutination method,the difference were statistically significant(χ2=5.1429,6.6476,P=0.0233,0.0099),and the difference was not statistically significant in the detection rate of candida by culture method and agglutination method(χ2=0.1060,P=0.7447).Conclusion Compared with the agglutination and culture methods,the microscopic examination to carry out vaginal discharge detection has a higher detection rate for candida,and can be used as the first choice for clinical diagnosis of candidal vaginitis.